关键词: 保护动机理论, 糖尿病视网膜病变, 自我管理行为, 自我效能, 眼科护理学

Abstract: Objective: To investigate the effect of health education program based on protective motivation theory in patients with diabetic retinopathy. Methods: Using convenience sampling, patients with diabetic retinopathy admitted to a tertiary grade A hospital in Tianjin from October 1, 2023, to January 31, 2024,were selected as the study subjects. They were divided into an observation group and a control group using a random number table, with 65 cases in each group. The control group received routine training and health education, while the observation group received an additional health education program based on protective motivation theory. The intervention lasted for eight weeks. The two groups were compared in terms of illness perception, self-efficacy, self-management behaviors, quality of life, and blood glucose levels. Results: Repeated measures ANOVA showed statistically significant differences in the intergroup effects, time effects, and interaction effects between the two groups regarding illness perception, self-management behaviors, quality of life, and glycemic control (P<0.05). Statistically significant differences were also found in the intergroup effects and time effects of self-efficacy between the two groups (P<0.05). Conclusion: The health education program based on protective motivation theory can enhance self-management and self-care abilities, and improve glycemic control and quality of life in patients with diabetic retinopathy.

Key words: Protective motivation theory, Diabetic retinopathy, Self-efficacy, Self-management behavior, Ophthalmic nursing